• Title/Summary/Keyword: 김희경

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A Case of Metastatic Tonsillar Lesion Showing Increased FDG Uptake in the Patient with Advanced Hepatocellular Carcinoma (진행성 간암 환자에서 편도 전이에 FDG 섭취증가를 보인 예)

  • Park, Jung-Mi;Kim, Hee-Kyung;Kim, Sang-Gyune;Kim, Young-Seok
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.1
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    • pp.70-73
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    • 2008
  • A 65 year-old man with hepatocellulcar carcinoma (HCC) admitted to treat left lower leg swelling and pus discharge suspecting osteomyelitis. MRI of his lower leg revealed the bone metastasis. Whole body FDG PET/CT additionally detected left shoulder and right ilium metastasis. Hematemesis suddenly developed in this patient after 3 weeks. Metastasis of right tonsil was histologically proven. When we reviewed his FDG PET/CT, there was asymmetric mild hypermetabolism in the right tonsil. When focal hypermetabolism is shown in the organ physiologically taking glucose up such as tonsil, we should cautiously assess whole body PET/CT in the examination of distant metastasis. We present a patient with multiple distant metastasis including tonsil from HCC showing increased FDG uptake with the literature review.

Nevoid Basal-cell Carcinoma Syndrome

  • Lee, Choong-Kook;Kim, Hui-Kyeong;Lee, Jae-Huy;Park, Hyoung-Sik;Yoon, Joong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.1
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    • pp.127-134
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    • 1990
  • NBCCS is a hereditary disorder characterized by multiple defects of ectodermal and mesodermal structure, which is chiefly affected on skin, jaws & skeleton, CNS, eye and sexual organ. It is well associated with multiple odontogenic keratocyst on the jaws. Thus, we intended to investigate other anomalies presenting on NBCCS in cases of multiple odontogenic keratocyst which were treated in our hospital from 1980 to 1989. Here we reported 6 cases of NBCCS.

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A Prediction Model on Adaptation to University Life among Chinese International Students in Korea (중국 유학생의 한국 대학생활 적응 예측모형)

  • Lin, Qin Lan;Kim, Hee-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.501-513
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    • 2011
  • Purpose: On the basis of the theoretical framework of a combination of Roy's adaptation theory and Lazarus & Folkman's theory of stress - appraise coping, the purpose of this study was to predict effect factors of adaptation to university life of Chinese international students in Korea. After this, a model of adaptation to university life of Chinese international students in Korea was constructed. Methods: A questionnaire was used to survey 369 Chinese international students from one university in Korea, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7. Results: This theoretical model explained adaptation to university life of Chinese international students at 75.0% in Korea. Physical symptoms, loneliness, acculturation stress and self-efficacy directly affected the adaptation to university life. Korean language proficiency indirectly affected adaptation to university life through self-efficacy. Conclusion: Results of this study provided theoretical basis for the future health care of university- centered health centers. For improving adaptation to university life of Chinese international students in Korea, education and nursing measures for reducing physical symptoms, loneliness and acculturation stress, and improving Korean language proficiency and self-efficacy are proposed for further research and development.

A Structural Model on the Mental Health in Children from Dysfunctional Families (결손가정 아동의 정신건강 구조모형)

  • Lee, Hyun Ju;Kim, Hee Kyung
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.3
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    • pp.13-31
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    • 2012
  • Purpose: This study was on the structural analysis of the covariant amount in order to evaluate the suitability of the structural models which can explain and predict the mental health of children on the basis of Bronfenbrenner's ecological theory. Methods: A questionnaire was used to survey 269 children from dysfunctional families out of 5th and 6th grade students from 30 elementary schools in one city and 6 counties, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7 programs. Results: The variable which had influence on the self-esteem was the social support. The variable which had influence on the positive reaction under stress was the stress. The variables which had influence on the negative reaction under stress were stress, and self esteem. The variables which had influence on the mental health were the self-esteem and the negative reaction under stress. The main variables to influence the mental health of children from dysfunctional families turned out to be the self-esteem and the negative reaction under stress to the mental health. Conclusion: Evaluating the suitability of the models, I presented the bases on the practical nursing business. They showed the right directions to the mental health care of children from dysfunctional families.

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CONSIDERATION OF THE SOFT TISSUE CHANGES IN ANTERIOR SEGMENTAL OSTEOTOMY OF THE MANDIBLE;REPORT OF TWO CASES (하악전치부 분절골절단술식기의 연조직가변화에 대한 고려;치험 2례)

  • Park, Hyung-Sik;Kim, Hui-Kyeong;Kim, Sun-Yong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.49-56
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    • 1990
  • Facial balance is the primary detevminant of good facial esthetics and is expressed externally by the shape of facial soft tissues. Balance of the facial skeleton is most important in prediction of orthognathic surgery, however, it is not alwags coincided to soft tissue balance because the soft tissue drapes overlying hard tissue varies in thickness and tones from case to case. So, soft tissue facial balance and esthetics also should always be considered in prediction of hard tissue changes preoperatively. The chin has a paramount importance in the overall appearance of the face and facial profile because it may express individual charactor or image. Therefore positional change of the chin must be considered in any cases as the last and important option to give an overall soft tissue balance. Two cases were referred from orthodontists only for anterior segmental of teortomuy of the chin. Pre-operative evaluation showed poor soft tissue chin profiles which were not coincided to hard tissue chin balance. We altered surgical plans to fulfill balancing soft tissue profile and then could improve overall esthetics after surgery.

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Task Analysis of Korean Transplantation Nurse Practitioner (장기이식 전문간호사의 직무분석)

  • 변수자;김희경;김애리;하희선;전경옥
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.179-188
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    • 2003
  • Purpose: This study was designed to create the job description of Korean transplantation nurse practitioner and examine performance frequencies, criticality, and difficulties of task elements. Method: The sample consisted of 63 nurses and coordinators who performed duties related to transplantation at medical center in Korea. A survey method was used, and the questionnaire included frequencies, criticality, and difficulties of task elements in job description by the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviations were conducted to examine the subject's general characteristics, the frequencies, criticality, and difficulties of task performance. Result: The job description of transplantation nurse practitioners revealed 5 duties, 22 tasks, and 85 task elements. On the all five duties, the averages of the performance frequency, criticality, and difficulty were 2.41, 3.38, and 2.78, meaning that the respondents rarely perform the 5 duties, but consider them critical and easy to perform. Conclusion: The job description of the transplantation nurse practitioner included duty, task, and task element and definition of job completed. Thus we recommended a data based trial to confirm and validate the information gathered.

Lived Experience with Aging in Middle-Aged Woman (중년 여성의 노화 체험)

  • 신경림;공은숙;김귀분;김남초;김주희;김춘길;김희경;노유자;송미순
    • Journal of Korean Academy of Nursing
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    • v.32 no.6
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    • pp.878-887
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    • 2002
  • This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

Effectiveness of Forgiveness Therapy on Resilience, Self-esteem, and Spirituality of Wives of Alcoholics (용서치료가 알코올 의존자 부인의 극복력, 자존감 및 영성에 미치는 효과)

  • Kim, Hee Kyung;Lee, Mihyoung
    • Journal of Korean Academy of Nursing
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    • v.44 no.3
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    • pp.237-247
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    • 2014
  • Purpose: In this study the effects of forgiveness therapy on the resilience, self-esteem, and spirituality of wives of men suffering from alcohol abuse was examined. Methods: The study design was a quasi-experimental design. Forgiveness therapy was conducted once a week for 12 weeks. Data were obtained from March 2012 to December 2013. Participants were chosen from women in two Alcohol Counseling Centers. Of the 29 participants, 16 were assigned to the experimental group and 13 to the control group. Data were analyzed using descriptive statistics, t-test, ${\chi}^2$-test, and repeated measure ANOVA. Results: There were statistically significantly differences for resilience, self-esteem, and spirituality between the experimental and control groups. Forgiveness therapy improved the resilience, self-esteem, and spirituality in the experimental group compared to the control group (p<.05). In follow-up tests, the experimental group had a statistically significantly increase only in self-esteem. Conclusion: This study results show that forgiveness therapy is effective in improving resilience, self-esteem, and spirituality in wives of men suffering from alcohol abuse. Therefore, forgiveness therapy can be considered a useful nursing intervention to promote improvements in emotional stability and provide pain relief for these wives.

Narrative Inquiry on a Scientifically Gifted Elementary School Student's Loneliness (한 초등과학 영재의 외로움에 대한 내러티브 탐구)

  • Kim, Hee Kyung;Kwon, Hyeoksoon
    • Journal of Korean Elementary Science Education
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    • v.35 no.3
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    • pp.348-361
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    • 2016
  • This study was done by narrative inquiry, suggested by Clandinin and Conelly (2000), in order to gain an in-depth understanding of the loneliness experienced by a scientifically gifted elementary school student. The participant of this study was sixth grade student from the Institute for Science Gifted in C University. The data were gathered via in-depth interviews and observations on the participant and her teachers. Based on these research findings, this study can make the following four conclusions with regard to the loneliness experienced by a gifted elementary school student in science. First, some characteristics of the gifted child may make her feel loneliness in the relationships she has with peers, siblings, and parents. Second, parent's repression makes the gifted child feels lonely. Third, the gifted child who feels lonely get consolation from her own subjective world and wants to get recognition from others. Fourth, the educational institute for the gifted serves as a place of education that fosters the gifted child's cognitive development and simultaneously it is where she can form positive relationships with her peers, as well as being a place of emotional comfort.

Generalized Lymphangiomatosis: A Case Report (전신성 림프관종증: 증례 보고)

  • Cha, Jang-Gyu;Park, Jai-Soung;Paik, Sang-Hyun;Kim, Hee-Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.190-194
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    • 2009
  • Generalized lymphangiomatosis is a rare congenital malformation of the lymphatics. CT and MR scan have been used to evaluate lymphangiomas, which appear as large multicystic fluid-filled masses. CT and MR Imaging findings are often helpful in distinguishing lymphangiomas from various vascular disorders. We report the findings of CT, MRI and bone scan in a patient with generalized cystic lymphangiomatosis. Whole body 3.0-T MR scan using STIR sequence with a larger FOV could detect the additional lesions that were not seen at other imaging modalities. We believe that whole body 3.0 T MR imaging is a good modality to evaluate the extent of the disease and following up the patients with the generalized cystic lymphangiomatosis.

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